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BWFE2014-1028•r' 7$-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: BWFE2014-1028 Property Address: 54925 AVENIDA JUAREZ APN: 774265022 Application Description: 60 LN FT X 5 FT HT Property Zoning: Application Valuation: $3,500.00 V Applicant: HUITRON CONSTRUCTION 50427 RIGO COURT COACHELLA, CA 92236 c&t,, 4 4 Qu!Krcv COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT AUG 07 2014 CITY OF LA QUINTA COMMUNITY DEVELOPMENT DEPARTMENT LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjuryJamed under provisions of Chapter 9 (commencing with Section 7000} ofDivisinessandProfessions Code, andmy License is in full force and effect. License Class: B License No.: 9261Date: %-1 — 1¢ Contractor OWNER-BUILpER DECLARATION I hereby affirm under penalty of perjury t at I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the allegej exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the JJ applicant to a civil penalty of not more than five hundred dollars ($500).: (_) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). (_) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). (_) I am exempt under Sec. . B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: Lender's Address: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 8/7/2014 Owner: HENRS WYNNE Contractor: HUITRON CONSTRUCTION 50427 RIGID COURT COACHELLA, CA 92236 (760)457-9960 Llc. No.: 926190 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. _ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier:_ Policy Number: _ _ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so s to become subject to the workers' compensation laws of California, and agre t 4, if I should become subject to the workers' compensation provisions of Sect�n 00 of'the Labor 10 d�, Ishall forthwith comply with those provisions. A WARNING: FAILURE TO SECURE WORKgkS—COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT: Application is hereby made to the Building Official for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the ab v information is correct. I agree to comply with all city and county ordinances and st e I s relating to buildin construction, and hereby authorize representatives of this enter IOpon the ab c o mentioned property for inspection purposes. A 7T A Signature (Applicant or PAID PAID DATE DESCRIPTION FINANCIAL ACCOUNT CITY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 PAID BY METHOD RECEIPT #. CHECK # CLTD BY Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00 DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE WALL/FENCE - FIRST 100 LF 101-0000-42404 0 $47.19 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION '' 'ACCOUNT CITY AMOUNT PAID PAID, DATE WALL/FENCE - FIRST 100 LF PC 101-0000-42600 0 $60.06 $0.00 PAID BY. METHOD RECEIPT # CHECK # CLTD BY Total Paid for FENCE OR FREESTANDING WALL- $107.25 $0.00 $108.25 $0.00 DESCRIPTION ACCOUNTQTY PermitTRAK PAID $108.25 BWFE2014-1028 Address: 54925 AVENIDA JUAREZ Apn: 774265022 $108.25 BUILDING STANDARDS ADMINISTRATION BSA $1.00 BSAS SB1473 FEE 101-0000-20306 0 $1.00 FENCE OR FREESTANDING WALL $107.25 WALL/FENCE - FIRST 100 LF PC 101-0000-42600 0 $60.06 WALL/FENCE - FIRST 100 LF 101-0000-42404 0 $47.19 •$108.25 Date Paid: Thursday, August 07, 2014 Paid By: HUITRON CONSTRUCTION Cashier: PJU Pay Method: DEBIT Printed: Thursday, August 07, 2014 8:14 AM 1 of 1 CRWCYCTGAAC Bfi.# City of La Qurnta Building S Safety Dh&6n P.O. Box 1504,78-495 Calle Tampico La.Quinta, CA 92253 -:(760) 777-7012 Building Permit Application'and Tracking Sheet Permit # Project Address: J6 �� Z Owner's Name:. S• � A. P. Number. Address: Legal Description: Contractor. Address: 70 = City, ST, Zip � / I„ , Telephone: _ ti A 1cJ 5� Project Description: ` City, ST, Zip: 9��i✓ rvP,%F f Telephone: 7 State Lipa # : o{ 6 ,. .3 /� o t 6 City Lic. _ Arch, Address: t City., ST, Zip: Telephone _ State Lia #: Name of Contact Person: Construction Type -.-/panty: Project type (circle one): Add'n Alter Repair ' Sq. Ft: #Stories: #Units: Demo Telephone # of Contact Person: 0 - �- Estimated Value of Project csi7 PPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal ReWd Recd TRACKING PERMIT FEES Play Sets Plan Check submitted Item Amount Structural CaIes. Reviewed, ready for corrections Plan Check Deposit. . Truss Cates. Called Contact Person Plan Check Balance Tithe 24 Calls. Pians picked up Construction Flood plain plan Plans resubmin , Mechanical Giadtng plan V Review, ready for correctionsfissue Electrical _ Subeoetactor List Called Contact person Plumbing l Grant Deed Plans picked up &M•L H.O.A. Approval Plans resubmitted Grading IN HOUSE:- ''" Review; ready for correcdons/issve Developer Impact Fee Planning Approval Called Contact Person A.LP.P. Pub. Wks. Appr - Date of permit issue School Fees Total Permit Fees Un Lo N U1 D a� c v (D N r v A c C) D cv -c E a X - CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVE® FOR CONSTRUCTION DATE BY Existing wall m x Ln r+ F3' �S O OL m m